Jonathan L Grosdidier, MD is a medicare enrolled "Surgery" physician in Douglas, Wyoming. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1992 and has 32 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Memorial Hospital Of Converse County and his current practice location is
111 S 5th St, Douglas, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 358-2122.
Jonathan L Grosdidier is licensed to practice in Wyoming (license number 7331A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992808398.
Physician's Profile
| Full Name | Jonathan L Grosdidier |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 32 Years |
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| Location | 111 S 5th St, Douglas, Wyoming |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jonathan L Grosdidier attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1992
NPI Data:
- NPI Number: 1992808398
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0749240810
- Enrollment ID: I20060314000095
Medical Identifiers
Medical identifiers for Jonathan L Grosdidier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992808398 | NPI | - | NPPES |
| 314089 | Other | WY | BCBS OF WYOMING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 7331A (Wyoming) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Memorial Hospital Of Converse County | 2264340843 | 60 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jonathan L Grosdidier allows following entities to bill medicare on his behalf.
| Entity Name | Memorial Hospital Of Converse County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356496491
PECOS PAC ID: 2264340843
Enrollment ID: O20031203000672 |
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| Entity Name | Memorial Hospital Of Converse County |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1326085408
PECOS PAC ID: 2264340843
Enrollment ID: O20070815000252 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jonathan L Grosdidier is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Jonathan L Grosdidier, MD
111 S 5th St,
Douglas, WY 82633-2434
Ph: (307) 358-2122 | Jonathan L Grosdidier, MD
111 S 5th St,
Douglas, WY 82633-2434
Ph: (307) 358-2122 |
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